What is the Quality of Safety at Witton Street Surgery

Positive

"• Review the system to monitor safety alerts."

Positive

"The CCG had also identified the practice as being a high referrer for patients to gain support from other agencies to improve their health safety and wellbeing."

Positive

"In response to patient needs the practice had recently purchased a bariatric chair to improve the safety and comfort for larger patients."

Positive

"Learning and improvement from safety incidents The practice had a system in place for reporting recording and monitoring safety incidents."

Positive

"A protocol around learning and improving from safety incidents was available for staff."

Positive

"A discussion with the GPs showed improvements had been made to the operation of the service and to patient safety and care as a result of the audits undertaken."

Positive

"Monitoring safety and responding to risk There were procedures in place for monitoring and managing risks to patient safety."

Positive

"The GPs told us clinical audits were often linked to medicines management information safety alerts clinical interest or as a result of QOF performance."

Positive

"Effective staffing The practice had an induction programme for newly appointed members of staff that covered such topics as fire safety health and safety and information governance."

Positive

"There were processes in place for reporting and investigating safety incidents."

Positive

"There was a health and safety policy available for all staff."

Positive

"The practice also had a variety of other risk assessments and audits in place to monitor safety of the premises such as infection control and legionella testing."

Neutral

"NHS England and the Clinical Commissioning Group had no concerns about the safety track record at the practice."

Neutral

"All new employees working in the building were given induction information for the building which covered health and safety and fire safety."

Positive

"• Introduce a comprehensive programme of quality improvement and use this information about care and treatment to make improvements."

Positive

"This report describes our judgement of the quality of care at this service."

Positive

"We based our judgement of the quality of care at this service on a combination of: • what we found when we inspected • information from our ongoing monitoring of data about services and • information from the provider patients the public and other organisations."

Positive

"This report describes our judgement of the quality of care at this service."

Positive

"• Staff dealt with patients with kindness and respect and involved them in decisions about their care."

Positive

"They commented that they were treated with respect and dignity and that staff were caring supportive and helpful."

Positive

"They felt listened to treated with dignity and respect and involved in decision making around their care and treatment."

Positive

"GPs and the practice nurse were able to refer patients for emotional support for example following bereavement."

Positive

"Curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"Curtains were provided in consulting rooms and treatment rooms so that patients’ privacy and dignity was maintained during examinations investigations and treatments."

Positive

"For example one of the GPs was the Clinical Commissioning Group CCG lead for the IRIS programme a general practicebased domestic violence and abuse DVA training support and referral programme."

Positive

"For example one of the GP’s was the CCG lead for the IRIS programme a general practicebased domestic violence and abuse DVA training support and referral programme."

Positive

"Regular liaison took place with the health visitors and the safeguarding lead for the CCG to discuss any children who were at risk of abuse and to review if an appropriate level of GP service had been provided."

Positive

"The child safeguarding lead met with the health visitor regularly to discuss any children who were at risk of abuse and to review if an appropriate level of GP service had been provided."

Positive

"Cleanliness and infection control All areas within the practice were found to be clean and tidy."

Positive

"The practice also had a variety of other risk assessments and audits in place to monitor safety of the premises such as infection control and legionella testing."

Neutral

"There was an infection control policy in place and staff had received up to date training."

Neutral

"Staff had specific roles within the practice and clinical and managerial staff took the lead for different areas for example infection control information governance and clinical audits."

Positive

"The child safeguarding lead met with the health visitor regularly to discuss any children who were at risk of abuse and to review if an appropriate level of GP service had been provided."

Neutral

"The safeguarding lead met with the health visitor to discuss any needs or concerns about children and young people registered with the practice."

Positive

"Staff were aware of local support services to sign post patients to such as Turning Point which assists people with drug and alcohol issues and the Citizen’s Advice Bureau."

Positive

"The website also sign posted patients to other services and support services."

Neutral

"The practice regularly worked with multidisciplinary teams in the case management of people experiencing poor mental health and sign posted patients to the appropriate services."

Positive

"Tackling inequity and promoting equality The surgery had access to translation services."

Positive

"We reviewed a number of human resource policies and procedures for example disciplinary grievance and capability and the equality and diversity policies and procedures."

Positive

"The complaint policy and procedure detailed how to make a complaint who to contact and the timescales for the practice to respond."

Positive

"Reference was made to the complaint process in the patient information booklet given to all new patients and on the practice’s website."

Positive

"Regular developmental and governance meetings took place to share information look at what was working well and where any improvements needed to be made."

Neutral

"Staff received annual elearning that included safeguarding fire procedures basic life support and information governance awareness."

Neutral

"Staff had specific roles within the practice and clinical and managerial staff took the lead for different areas for example infection control information governance and clinical audits."